NCLEX-RN
NCLEX RN Medical Surgical Practice Questions Questions
Extract:
Question 1 of 5
After teaching the client with a femoral fracture about the purpose of treatment with skeletal traction, which of the following, if stated by the client, would indicate the need for additional teaching?
Correct Answer: C
Rationale: The amount of traction (e.g., 25 lb) is specific to the injury and not a general purpose, indicating a misunderstanding.
Question 2 of 5
A client undergoing a mastectomy asks why she needs to sign a blood transfusion consent form. The nurse's best response is:
Correct Answer: A
Rationale: Explaining that the consent is a precaution for potential bleeding addresses the client's question accurately and promotes informed consent.
Question 3 of 5
The nurse should monitor the surgical client closely for which clinical manifestation with the administration of naloxone (Narcan)?
Correct Answer: A
Rationale: Naloxone can cause dizziness due to rapid reversal of opioid effects, leading to autonomic changes. This is a common side effect to monitor in surgical clients.
Question 4 of 5
The physician prescribes sulfasalazine (Azulfidine) for the client with ulcerative colitis to continue taking at home. Which instruction should the nurse give the client about taking this medication?
Correct Answer: C
Rationale: Sulfasalazine should be taken with a full glass of water to ensure proper absorption and to prevent gastrointestinal irritation. It can be taken with food to reduce stomach upset, the dose is typically spread out during the day, and orange-yellow urine is a harmless side effect. CN: Pharmacological and parenteral therapies; CL: Synthesize
Question 5 of 5
The nurse notes that the daily white blood cell (WBC) count in a client with aplastic anemia has dropped overnight from 3,900 to 2,900/µL. Which is the appropriate nursing intervention?
Correct Answer: D
Rationale: A significant drop in WBC count (3,900 to 2,900/µL) in aplastic anemia indicates worsening neutropenia, increasing infection risk. The nurse should notify the physician and place the client in reverse isolation to protect against infections. Monitoring, verifying, or documenting alone are insufficient given the urgency.